| NPI | 1932925914 |
|---|---|
| Professional Name | FANNY VIDALINA COLLADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11036551) |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |